I think that Obama will pay the student loan debt of new docs in order to get them into the system and that is why many of them will willingly participate. Right now a med student is looking at what, $200,000- $300,000 in student loan debt after graduation? Then there is the high cost of malpractice insurance; paying that for new docs could be another carrot to dangle. Medicare/Medicaid are essentially managed care organizations, meaning that they are insurers and manage the patients’ care. As far as malpractice goes, however, the liability rests solely with the doctor and the yearly premiums are huge.
Get ready for unionized doctors.
In the NHS in Great Britain, they have had emergency room critically ill or injured patients patients die when the doctors and nurses went on their mandated breaks and left the emergency room patient unattended